Healthcare Provider Details
I. General information
NPI: 1750776118
Provider Name (Legal Business Name): RAPID URGENT CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2015
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
218 E BOSTON ST
COVINGTON LA
70433-2822
US
IV. Provider business mailing address
229 SAINT JOHN LN
COVINGTON LA
70433-3276
US
V. Phone/Fax
- Phone: 985-674-4464
- Fax: 985-674-4404
- Phone: 866-875-9225
- Fax: 985-888-6817
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EDWARD
JACKSON
DEASE
Title or Position: CEO
Credential: MD
Phone: 985-249-5600